BMC primary care最新文献

{"title":"Physician perspectives on Point-of-care ultrasound (POCUS) in primary care: a cross-sectional study in Israel.","authors":"Ilan Yehoshua, Dor Atias, Taly Birman, Alon Bar El, Limor Boker Faran, Miri Mizrahi Reuveni, Bar Cohen, Limor Adler","doi":"10.1186/s12875-026-03476-2","DOIUrl":"10.1186/s12875-026-03476-2","url":null,"abstract":"<p><strong>Background: </strong>Point-of-care ultrasound (POCUS) offers significant potential to enhance diagnostic certainty and therapeutic decision-making in primary care settings. Despite widespread conceptual endorsement and the introduction of training programs, real-world adoption remains limited. This study aimed to evaluate attitudes, clinical practice patterns, and barriers to integration among Primary Care Physicians (PCPs) who received formal POCUS training within a large Israeli healthcare organization.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among PCPs in one Healthcare Maintenance Organization in Israel who had previously completed POCUS training. Data were collected via an electronic questionnaire assessing specific modules used, device types, satisfaction levels, and perceived barriers. Respondents were categorized as active, former, or never users, and statistical analyses were performed to identify correlations among device type, usage, and satisfaction.</p><p><strong>Results: </strong>Of 341 eligible PCPs, 126 completed the survey (37% response rate). The majority (88%) were active users. The most frequently utilized applications were lung (93%), abdominal (79%), and musculoskeletal (55%) assessments, with a specific focus on lung parenchyma and urinary pathologies. Active users reported high levels of diagnostic confidence (84%) and believed POCUS improved treatment (77%). The primary barriers cited were a lack of time (60%), a lack of experience (50%), a lack of confidence (39%), and insufficient compensation (32%).</p><p><strong>Conclusions: </strong>Trained PCPs perceive POCUS as a valuable tool that enhances diagnosis and treatment. However, barriers regarding time constraints, confidence, and experience persist despite formal training. Successful integration of POCUS in primary care requires addressing these workflow-specific challenges and selecting devices that align with the unique needs of ambulatory practice.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sharing general practice data: a qualitative study with Australian general practitioners.","authors":"Heidi Green, Justin Beilby, Carolyn Adams, Alberto Nettel-Aguirre, Felicity Flack, Anthony Brown, Allison Clarke, Christian Jung, Belinda Fabrianesi, Lucy Carolan, Annette Braunack-Mayer","doi":"10.1186/s12875-026-03490-4","DOIUrl":"10.1186/s12875-026-03490-4","url":null,"abstract":"<p><strong>Background: </strong>The increasing demand for access to general practice data for research and policy development presents ethical challenges for Australian general practitioners (GPs), particularly around patient consent, privacy, and trust. As frontline custodians of patient information, GPs must navigate the tension between supporting public benefit and upholding their professional obligations to confidentiality and autonomy.</p><p><strong>Methods: </strong>This qualitative study involved interviews with 19 Australian GPs who reported limited experience with secondary use of general practice data. Participants were recruited via professional networks and interviewed using open-ended questions informed by prior community jury recommendations. Thematic analysis was conducted using NVivo 12, with an ethical lens applied to identify key themes related to trust, consent, and data governance.</p><p><strong>Results: </strong>GPs expressed broad support for using general practice data in research but emphasised the centrality of trust in the doctor-patient relationship. Most participants preferred an opt-in consent model, citing transparency and respect for patient autonomy. Concerns were raised about privacy breaches, re-identification risks, and the ethical implications of remuneration. Organisational constraints, such as time pressures and limited decision-making authority within practices, were identified as barriers to implementing ethical data-sharing practices.</p><p><strong>Conclusion: </strong>Australian GPs are pivotal in shaping ethical and effective models for data sharing in general practice. However, substantial policy, educational, and ethical work is needed to address their concerns. Building trust, ensuring transparency, and respecting patient autonomy are essential to securing GP support for routine data collection. A collaborative approach involving government, community, and general practice stakeholders is necessary to develop acceptable and sustainable data-sharing frameworks.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13682028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149228905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Digital health technologies to improve access to comprehensive primary health care in remote Northern Territory, Australia: qualitative findings from thought leader interviews.","authors":"Vishnu Khanal, Emily Saurman, Nicki Newton, Kureisha Wilson, Josielli Comachio, Karina Coombes, Alexandar Puruntatameri, Hilda Bert, Amy Von Huben, Sarah Norris, Meredith Makeham, Michelle Dickson, Sean Taylor, Paul Burgess, Tamsin Cockayne, Jeff Robson, David Reeve, David Edwards, Alison Lloyd, John Wakerman, Tim Shaw, Deborah Russell","doi":"10.1186/s12875-026-03480-6","DOIUrl":"10.1186/s12875-026-03480-6","url":null,"abstract":"<p><strong>Background: </strong>Existing literature shows the potential of digital health technologies (DHTs) to improve access to Comprehensive Primary Health Care (CPHC) by overcoming various challenges to care provision. However, the usefulness of DHTs in the remote Northern Territory (NT) Australian context to support the delivery of CPHC has rarely been explored. This study explores thought leaders' perspectives about the key challenges to accessing CPHC services and the role of DHTs in overcoming these challenges in remote NT.</p><p><strong>Methods: </strong>In-depth interviews were conducted with 17 participants between February 2023 and February 2024 who were working or had previously worked in remote NT, including in leadership, governance, and management roles with the NT Health Department or Aboriginal Community Controlled Health Services. Thematic analysis was conducted using a deductive approach based on the theory of access.</p><p><strong>Results: </strong>Key challenges to accessing CPHC in remote NT include workforce issues (staff shortages, high staff turnover, poor continuity of care), the large distances and high costs of providing care, and issues related to how health care services were organised and delivered. Participants highlighted the potential of DHTs for improving challenges relating to provider availability, continuity of care, and high service delivery costs incurred by health services. Challenges to implementing DHT solutions were also raised which were broadly classified as technical and non-technical. Poor digital infrastructure, intermittent connectivity, and the lack of interoperability of systems between healthcare organisations were key technical challenges. Low rates of digital device ownership and low digital literacy of community members, together with limited local availability of skilled staff to support DHT solutions, and the lack of flexibility in the way appointments were organise were identified as key non-technical challenges.</p><p><strong>Conclusions: </strong>There was optimism that DHTs could substantially improve CPHC access in remote NT. Telehealth, used where clinically and culturally appropriate and in combination with face-to-face care using a hybrid approach, could potentially improve remote patients' access to a range of healthcare providers, reduce patients' and providers' need to travel and improve continuity of care. This will necessitate increased investment in training local Aboriginal people to support communities' access to DHTs and improve the quality and cultural safety of care.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13681752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing care coordination to enhance shared care for complex cancer survivors in primary care (ACCESS-PC): protocol for a hybrid type 3 effectiveness-implementation trial.","authors":"Sarah J Fadem, Benjamin F Crabtree, Jennifer R Hemler, Kulwinder Dhaliwal, Pamela Ohman-Strickland, Jeanne M Ferrante, Shawna V Hudson, Denalee M O'Malley","doi":"10.1186/s12875-026-03484-2","DOIUrl":"10.1186/s12875-026-03484-2","url":null,"abstract":"<p><strong>Background: </strong>Cancer survivors with chronic conditions (e.g., complex cancer survivors) are a growing population that faces greater cancer-specific and cardiovascular disease (CVD) related morbidity and mortality. A shared care model, which involves primary care and cancer clinicians, is the optimal care delivery model for complex cancer survivors. Yet, there is little guidance on how to effectively implement and support complex cancer survivors' continued engagement with primary care during the cancer treatment phase.</p><p><strong>Methods: </strong>This protocol describes a multi-phase, mixed methods, stakeholder-engaged research process that tailors and tests a multi-level health system intervention to improve primary care provider and cancer team 'shared care' for complex cancer survivors. This study employs a design-for-dissemination, theory-guided perspective, blending implementation science and care delivery conceptual frameworks: Exploration, Planning, Implementation, and Sustainment (EPIS) and Cancer Multi-team System (cMTS). These frameworks guide our understanding and strategies deployed on the multi-level factors of implementing shared care in a health system. Primary Care Connect (PCC) is a health system intervention designed to align complex cancer survivors, healthcare team members, and health system implementation actors' understandings, capacities, and practices to promote the adoption of shared care delivery models for complex cancer survivors. A hybrid type 3 effectiveness-implementation study design will test the effectiveness of PCC (n = 266 patients) in a patient-level randomized controlled trial on primary care connection, chronic disease management, and patient-reported outcomes. PCC implementation (e.g., feasibility, acceptability, and appropriateness) will be evaluated using a mixed methods approach to inform sustainable usage of the intervention. A concurrent learning evaluation will assess PCC's adaptations over time and convene health system stakeholders to explore intervention properties to inform adoption and sustainment considerations.</p><p><strong>Discussion: </strong>The overarching goal of this protocol is to examine whether cancer survivors becoming \"lost in transition\" is a preventable problem. PCC tests whether the challenge of transitioning patients back to primary care can be avoided altogether by re-engineering care coordination with primary care at the outset of cancer treatment. Study findings are poised to have a profound impact on the adoption of shared care delivery models throughout the U.S. to optimally mitigate complex cancer survivors' CVD risks.</p><p><strong>Trial registration: </strong>Registered with ClinicalTrials.gov on February 19, 2025: NCT06834204.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13681859/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of routine HPV-based cervical cancer screening adoption in federally qualified health centers within a multi-state practice research network 2012-2022: retrospective observational study.","authors":"Michelle B Shin, Connor R Volpi, Warren Szewczyk, Peggy A Hannon, Paula Lozano, Jennifer Tsui, Allison M Cole","doi":"10.1186/s12875-026-03452-w","DOIUrl":"10.1186/s12875-026-03452-w","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer screening guidelines in the United States have evolved with the introduction of human papillomavirus (HPV)-based modalities, including co-testing in 2012 and primary HPV testing in 2018, in addition to Pap-only screening. However, adoption of these modalities in federally qualified health centers (FQHCs) has been underexplored. We examined longitudinal patterns of HPV-based cervical cancer screening adoption (e.g., proportion screened with co- and primary HPV testing) across three FQHC systems in Washington and Idaho and explored factors associated with receipt of HPV-based modalities.</p><p><strong>Methods: </strong>Using electronic health record data, we identified the first routine cervical cancer screening among 11,316 individuals from 2012-2022 across 25 clinics within three FQHCs. Screening modality at the screening was classified as Pap-only, co-testing, or primary HPV testing. We quantified the proportion of each screening modality by year and FQHC from 2012-2022 and used multivariable logistic regression to estimate associations of factors (age, race, ethnicity, rurality, insurance status, primary care visits, and FQHC) with HPV-based screening for 2012-2018 and 2018-2022 guideline periods.</p><p><strong>Results: </strong>The proportion of up-to-date screening in 2022 was 34.0%, 22.7%, and 37.6% for FQHCs A, B, and C, respectively. Among individuals receiving their first routine screening from 2012-2022, 59.1% underwent Pap-only, 38.8% co-testing, and 2.0% primary HPV testing, respectively. Pap-only was nearly universal in 2012 but declined to 57.0% by 2022, while co-testing increased to 41.0%. Primary HPV testing remained < 7.0% across all years and FQHCs. During the 2012-2018 guideline period, odds of co-testing (vs. Pap-only) were higher among Hispanic (aOR = 1.56; 95% CI, 1.35-1.80) and Black (aOR = 1.64; 95% CI, 1.18-2.28) individuals and screened at FQHC C (aOR = 4.21; 95% CI, 3.41-5.22). Odds were lower among rural (aOR = 0.20; 95% CI, 0.17-0.24) and uninsured patients (aOR = 0.51; 95% CI, 0.44-0.58). From 2018-2022, odds of co-testing were higher among individuals aged 40-59 and Black, lower at FQHC B (aOR = 0.48; 95% CI, 0.37-0.63), and higher at FQHC C (aOR = 1.34; 95% CI, 1.06-1.68).</p><p><strong>Conclusions: </strong>Adoption of HPV-based screening modalities increased over time and varied by patients' rurality, race, and ethnicity. Lower adoption in some organizations may reflect limited capacity/resources for adopting newer screening modalities, which could impact equitable access to screening.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening primary care facility management: a systematic review of management interventions, implementation strategies, and outcomes in six sub-Saharan African countries.","authors":"Ermyas Birru, Sandra Urusaro, Aneth Dinis, Stélio Tembe, Teresa Jewell, Steve Gloyd, Kenneth Sherr, Lisa R Hirschhorn","doi":"10.1186/s12875-026-03485-1","DOIUrl":"10.1186/s12875-026-03485-1","url":null,"abstract":"<p><strong>Background: </strong>Although primary health care (PHC) is central to health system performance, effective facility-level management is a critical determinant of service quality, resource use, and improved health outcomes. We conducted a systematic review to synthesize evidence on interventions, implementation strategies, and outcomes aimed at strengthening PHC facility management in Sub-Saharan Africa (SSA).</p><p><strong>Methods: </strong>We conducted a systematic review using thematic synthesis. Eight electronic databases were searched for peer-reviewed studies and grey literature published between 2012 and 2022, focusing on interventions targeting PHC facility management in SSA. Implementation strategies were mapped to the thematic cluster areas of the Expert Recommendations for Implementing Change (ERIC) framework. Implementation outcomes were classified using Proctor's Implementation Outcome Framework, and management effectiveness domains were identified through thematic analysis.</p><p><strong>Results: </strong>Of 3,752 studies screened, nine met the inclusion criteria. These studies represented six SSA countries: Botswana, Ethiopia, Kenya, South Africa, Tanzania, and Zambia. Four categories of intervention were identified: (1) training and capacity building programs, (2) peer-to-peer learning, (3) audit and feedback-based quality management systems, and (4) supportive supervision. These interventions were delivered through multiple implementation strategies, including training and education, coaching and mentoring, learning collaboratives, interactive continuous learning, and routine data monitoring. Acceptability was the most consistently reported implementation outcome. Improvements in management effectiveness were identified across four domains: financial management, organizational climate and culture, resource management and utilization, and human resource management. Five studies also reported intermediate service-level outcomes including improvements in maternal and child health indicators.</p><p><strong>Conclusion: </strong>Interventions aimed at strengthening PHC facility management in SSA primarily emphasize skill development, collaboration, and ongoing managerial support, typically delivered through multiple strategies. However, few studies have evaluated these interventions using rigorous experimental or pragmatic study designs. More robust implementation research is needed to identify effective strategies for strengthening PHC facility management and supporting the consistent implementation of national PHC guidelines.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13673827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Considerations in referring older patients to hospital in acute situations: a qualitative study based on the experiences of healthcare providers.","authors":"Cindy Cardol, Britt Wagenaar, Hanneke Merten, Yvonne de Man, Jeroen Hasselaar, Linda van Eikenhorst, Cordula Wagner","doi":"10.1186/s12875-026-03453-9","DOIUrl":"10.1186/s12875-026-03453-9","url":null,"abstract":"<p><strong>Background: </strong>Hospital referral in acute situations is a complex process with a significant impact on older adults. This study aims to explore the considerations of healthcare providers from both primary and secondary care when deciding whether or not to refer an older patient to the hospital in acute situations. By including perspectives of different health care providers, this study seeks to provide a more comprehensive understanding of the decision-making process.</p><p><strong>Methods: </strong>In February 2025, three online semi-structured focus group discussions were conducted with 16 primary and secondary healthcare providers. Three case studies (two hip fractures, one COPD exacerbation) guided the discussion. Data were analysed using a combination of inductive and deductive thematic analysis and were iteratively clustered and visualized around four key consideration factors.</p><p><strong>Results: </strong>Twenty subthemes were identified and mapped onto four overarching main themes, corresponding to the four key consideration factors: patient-related (e.g. network, quality of life, patient and family preferences, emotional status and living situation), healthcare provider-related (e.g. professional attitude, collaboration and familiarity with patients), case-specific (e.g. age, medical history, activities of daily living (ADL) and mobility, cognitive functioning, frailty, prognosis, the acuity of situation, alternative treatment, and risk of complications) and structural factors (e.g. ability to arrange appropriate care and the patients' increasing care demand).</p><p><strong>Conclusions: </strong>Decision-making in hospital referrals is not determined solely by the acute condition, but is a complex and dynamic process. This highlights the importance of strengthening interprofessional communication and collaboration, addressing the shortages in the availability of appropriate patient care, and extending advance care planning (ACP) practices by involving family members to support more patient-centred referral decisions.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13584258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in publicly insured general practitioner consultations before and after workplace injury: interrupted time series by consultation duration and care plans in Australia.","authors":"Preeti Maharjan, Michael Di Donato, Daniel Griffiths, Danielle Mazza, Alex Collie","doi":"10.1186/s12875-026-03477-1","DOIUrl":"10.1186/s12875-026-03477-1","url":null,"abstract":"<p><strong>Background: </strong>General practitioners (GPs) are central to the treatment and management of injured workers. Australian workers' compensation funds GP consultations for work-related injuries. Almost all other GP consultations are subsidised by public healthcare insurance (Medicare Benefit Scheme). This study aimed to examine changes in publicly-insured GP consultations before and after injury for injured workers with long-duration claims, focusing on consultation duration types and GP-provided mental health and chronic diseases management plans.</p><p><strong>Methods: </strong>This retrospective cohort study using interrupted time series analysis included 3,755 injured workers and 10,113 community individuals with injury/index date between 2006 and 2016. We compared monthly changes in rates (per 1000 workers) of six GP consultation types for 12-month before and 24-months after injury. Acute and long-term changes were examined both overall (combining all consultation types) and separately by consultation type. Consultation types include four duration-based levels: A (0-6 min), B (6-20 min), C (20-40 min), and D (40-60 min), and two types describing mental health and chronic disease management plans.</p><p><strong>Results: </strong>After injury, injured workers received an additional 1,600 Medicare-subsidised GP consultations per 1,000 workers per year compared to the community group. Post-injury, the largest increase in monthly consultation rates was observed for Level D consultations (IRR: 2.37, 95% CI: 1.35, 4.20), while the smallest increment was observed for Level B consultations (IRR: 1.45, 95% CI: 1.32, 1.59). Monthly GP mental health care and chronic disease development plan rates increased by 84% (IRR: 1.84, 95% CI: 1.17, 2.93) and 20% (IRR: 1.20, 95% CI: 0.78, 1.86) post injury, respectively; however, the monthly rates of these consultations were small (maximum 25/1000 workers) Following these initial increases immediately post-injury, monthly consultation rates decreased by 3% to 9% and by 24-months post-injury had returned to levels observed in the comparison group.</p><p><strong>Conclusion: </strong>All six types of publicly insured GP consultations increased temporarily in the initial months following injury, regardless of worker's compensation status. These consultations remained elevated above pre-injury levels for over 12 months, likely reflecting delayed claim acceptance or increased care needs. These findings highlight the need of a comprehensive, whole-person approach to recovery that addresses both immediate and broader healthcare needs.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of food insecurity with physical and mental health in primary care: a cross-sectional study in Ankara, Turkey.","authors":"Hakan Tüzün, Kadir Serdar Yılmaz, Cansu Özbaş, Özge Tonbuloğlu Altıner, Müberra Erkaya Tosun","doi":"10.1186/s12875-026-03483-3","DOIUrl":"10.1186/s12875-026-03483-3","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity (FI) is the inability to consume adequate diets for a healthy and active life, mainly due to structural causes. It aimed to examine the association between FI with physical and mental health-related quality of life (HRQoL).</p><p><strong>Methods: </strong>It was implemented through face-to-face interviews with individuals selected by convenience sampling who applied to selected Family Health Centers in Sincan/Ankara. A logistic regression model was created to examine factors related to FI. Linear regression models of Physical Component Summary (PCS-12) and Mental Component Summary (MCS-12) scores of SF-12 (Short Form 12) were created. Independent factors of models include socioeconomic factors and the presence of non-communicable diseases (NCDs).</p><p><strong>Results: </strong>The prevalence of mild, moderate, and severe FI was 14.3%, 14.7%, and 9.3%, respectively. The risk of FI is higher in the lowest-income group (aOR: 12.416) and the income group immediately above it (aOR: 6.573) than in the highest-income group. In the fully adjusted linear regression model including socioeconomic variables and the presence of non-communicable diseases (NCDs), severe FI was associated with lower PCS-12 scores compared with food security (β = -0.079, p < 0.01). Mild (β = -0.174, p < 0.001), moderate (β = -0.217, p < 0.001), and severe FI (β = -0.233, p < 0.001) were associated with lower MCS-12 scores, showing a graded association across FI severity categories.</p><p><strong>Conclusion: </strong>FI was common among primary healthcare users in this study and was most strongly associated with low income. The persistence of the association between severe FI and physical HRQoL after adjustment for NCDs underscores FI's relevance to physical HRQoL in primary care populations. Its negative association with mental HRQoL was stronger and more consistent than that observed for physical HRQoL, underlining its importance for community mental health. Integrating FI screening and developing primary care-based interventions may help mitigate its adverse effects.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660279/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-reported infections in Norway: a study of incidence, doctor visits, antibiotic use, and absence from work.","authors":"Ingrid K Rebnord, Knut Erik Emberland, Ingeborg Forthun, Siri Waage, Guri Rortveit, Bjørn Bjorvatn","doi":"10.1186/s12875-026-03478-0","DOIUrl":"10.1186/s12875-026-03478-0","url":null,"abstract":"<p><strong>Background: </strong>Infections are common and frequently lead to doctor visits, use of antibiotics, and absence from work.</p><p><strong>Objective: </strong>To investigate frequency of different self-reported infections and the impact on doctor visits, antibiotic use, and absence from work.</p><p><strong>Method: </strong>A cross-sectional study based on an online survey in Norwegian primary care, focusing on infections. Individuals between 25 and 70 years of age, were recruited by general practitioners (GPs) through the Norwegian Primary Care Research Network. The respondents reported different types of infections they had experienced in the last 3 months, and if the infection resulted in a GP visit, use of antibiotics or absence from work. Descriptive analyses were used to estimate proportions and multivariate logistic regressions to assess predictors for absence from work.</p><p><strong>Results: </strong>In total, 74.5% of the respondents reported to have experienced an infection during the last 3 months. Respiratory infections were reported by 63.7%, among these cases, 50.9% reported common cold (95% CI 47.6-54.2), 31.5% influenza-like illness (95% CI 28.4-34.5) and 17.9% COVID-19 (95% CI 15.2-20.5). Among those reporting respiratory tract infections, only 18.6% (95% CI 16.4-20.8) visited a GP. Bronchitis/pneumonia most often led to a GP visit (52.8%, 95% CI 36.3-71.0) and antibiotic prescription (25.0%, 95% CI 11.5-40.7). Respiratory tract infections and gastrointestinal infections had the greatest impact on sickness absence from work. Of these, COVID-19 was the strongest predictor for absence from work (OR 9.29, 95% CI 5.8-14.8).</p><p><strong>Conclusion: </strong>Respiratory tract infections were the most common type of self-reported infection, and while only one in five visited the GP, the impact on work absence was large. COVID-19 gave the greatest risk of absenteeism.</p>","PeriodicalId":72428,"journal":{"name":"BMC primary care","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13660301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}